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HESI PN Obstetrics/Maternity & Pediatrics Practice Exam 2026 | Comprehensive HESI PN Review Questions and Answers for Maternal-Newborn, Pediatric Nursing, Developmental Milestones & NCLEX-PN

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This HESI PN Obstetrics/Maternity and Pediatrics practice exam review contains comprehensive nursing questions and detailed rationales focused on maternal-newborn nursing, pediatric nursing care, developmental milestones, emergency pediatric interventions, medication administration, growth and development, obstetric care, and NCLEX-PN style clinical reasoning. The material is designed to prepare practical nursing students for HESI PN examinations, pediatric nursing assessments, maternity remediation, and practical nursing licensure preparation. The document covers a broad range of obstetric and neonatal topics including postpartum care, newborn assessment, neonatal thermoregulation, breastfeeding, Rh incompatibility and RhoGam administration, labor and delivery management, prenatal complications, preeclampsia, physiologic jaundice, PKU management, circumcision care, neonatal reflexes, postpartum hemorrhage, fetal monitoring, and newborn safety. Pediatric nursing concepts include respiratory disorders, asthma management, croup, epiglottitis, intussusception, nephrotic syndrome, cerebral palsy, congenital heart defects, seizure disorders, developmental dysplasia of the hip, burns, fractures, immunizations, pain management, medication administration, and pediatric emergencies. The study guide also reinforces pediatric growth and development theories from Erikson and Freud, age-appropriate play interventions, separation anxiety, hospitalization responses, cognitive milestones, psychosocial development, school-age adaptation, adolescent health concerns, and communication strategies with children and families. Nursing interventions related to infection prevention, airway management, respiratory distress, safety education, nutrition, oral medication administration, immunization reactions, and pediatric assessment priorities are thoroughly reviewed throughout the exam material. Special emphasis is placed on practical nursing clinical judgment and prioritization skills, including emergency response to airway compromise, shock assessment, appendicitis precautions, postoperative pediatric care, medication dosage calculations, aspiration prevention, pediatric safety, infection control, and therapeutic communication. Detailed rationales accompany the practice questions to strengthen critical thinking and support HESI remediation preparation for both maternity and pediatric nursing content areas. This resource is ideal for PN nursing students, practical nursing candidates, HESI remediation learners, NCLEX-PN preparation students, maternal-child nursing students, pediatric nursing students, nursing tutors, nurse educators, and healthcare learners preparing for maternity and pediatric clinical exams. The practice material aligns with core concepts commonly tested in HESI PN Obstetrics/Maternity and Pediatric Nursing examinations and supports review of evidence-based nursing care, developmental theory, pediatric safety, maternal-newborn nursing, and clinical prioritization strategies. Keywords HESI PN obstetrics HESI maternity review HESI pediatrics practice questions maternal newborn nursing pediatric nursing review NCLEX PN maternity newborn assessment postpartum care labor and delivery nursing neonatal thermoregulation breastfeeding nursing care Rh incompatibility RhoGam administration physiologic jaundice PKU nursing care newborn reflexes circumcision care prenatal complications preeclampsia nursing fetal monitoring pediatric respiratory disorders croup nursing interventions epiglottitis emergency care asthma management intussusception symptoms nephrotic syndrome diet cerebral palsy nursing tetralogy of Fallot developmental milestones Erikson stages Freud psychosexual stages separation anxiety hospitalized child care pediatric medication administration immunization side effects pediatric dosage calculations airway management shock assessment appendicitis nursing care pediatric pain management growth and development pediatric safety education infection prevention practical nursing exam prep HESI remediation maternal child nursing pediatric NCLEX review

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HESI PN Obstetrics/Maternity
Practice Exam, Pediatrics HESI
PN Review, Hesi Peds, PN HESI
Peds, Peds & Maternity HESI,
HESI Maternity/Pediatric
Remediation 2026


After repeating the vital signs for a newborn who is 4 hours old, the

practical nurse (PN) obtains an axillary temperature of 97.2 F and places

the newborn under a radiant heat warmer. Which additional finding

should the PN observe in the newborn? - ANSWER ✔✔Tremors of

the hands during crying.

,Which information should the practical nurse (PN) provide the parents

about the purpose of instilling erythromycin (llotycin) ophthalmic

ointment in the newborn's eyes. - ANSWER ✔✔Prophylactic

treatment for gonorrheal and chlamydia infection.

What is the most important action by the practical nurse (PN) in

preventing neonatal infection? - ANSWER ✔✔Hand washing.


a client who took iron supplements during pregnancy delivers and infant

by cesarean section. On the second postpartum day, the client reports

having a constipated stool that is greenish-black in color. Which action

should the practical nurse (PN) implement? - ANSWER ✔✔Record

color and consistency of the stool.

A client is 5 weeks pregnant call the clinic to report that her home

pregnancy test is positive. She asks what she should be concerned

about during the weeks before her first visit. Which signs and symptoms

should the practical nurse (PN) tell the client to report immediately to the

healthcare provider? (select all that apply) - ANSWER ✔✔A. Vaginal

bleeding

D. Membrane rupture

E. Severe headaches

,A 3-day-old newborn who weighed 7 pounds, 8 ounces at birth is breast

feeding and now weighs 6 pound and 15 ounces. Which action should

the practical nurse take? - ANSWER ✔✔Document the weight loss


Which medication is prescribed for the prevention of ophthalmia

neonatorum? - ANSWER ✔✔Erythromycin (iilotycin)


A multiparous client's membranes rupture after 8 hours of labor. which

action should the practical nurse implement at this time? - ANSWER

✔✔Assess the fetal heart rate (FHR) and pattern.


The practical nurse (PN) palpates fundal height at the umbilicus of a

multiparous client who has just given birth to an 8-pound boy when dark

red blood comes from the client's vagina. What action is most important

for the PN to implement? - ANSWER ✔✔Continue to massage the

fundus until firm.

Which client should the practical nurse (PN) closely monitor for severe

after pains? - ANSWER ✔✔A multigravida who is breastfeeding.


The practical nurse (PN) is assessing a client 2 hours after a vaginal

delivery of a 7-pound 3-ounce newborn and determines the client's

bladder is distended. Which additional finding should the PN report to



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, the charge nurse? - ANSWER ✔✔Excessive bleeding on the perineal

pad.

The practical nurse (PN) places a newborn who is 4 hours old with an

axillary temperature of 97.2 F under the radiant heat warmer. Which

rationale supports the PN's action? - ANSWER ✔✔The newborn's

thin layer of subcutaneous fat provides poor insulation.

Which strategy should the practical nurse (PN) implement to prevent a

puerperal infection for a client during the first postpartum week? -

ANSWER ✔✔Implement strict medical and aseptic technique.


Which client is a candidate for the administration of human immune

globulin (RhoGam) after delivery? - ANSWER ✔✔The Rh-negative

mother who delivers a Rh-positive baby.

Which physiological cause(s) for constipation during pregnancy should

the practical nurse (PN) explain to a client in the first trimester? (Select

all that apply.) - ANSWER ✔✔A. Displacement of the colon.


E. Decrease in peristalsis.

A 14-week gestational client, who weighed 125 pounds before

pregnancy, comes into the health clinic for a prenatal appointment. The

client's weight today is 129 pounds. What action should the practical

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